Integration of Geriatric Education Within the American Board of Emergency Medicine Model
Background: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents devel...
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Format: | Article |
Language: | English |
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eScholarship Publishing, University of California
2023-12-01
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Series: | Western Journal of Emergency Medicine |
Online Access: | https://escholarship.org/uc/item/1q13n83m |
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author | Lauren T. Southerland Lauren R. Willoughby Jason Lyou Rebecca R. Goett Daniel W. Markwalter Diane L. Gorgas |
author_facet | Lauren T. Southerland Lauren R. Willoughby Jason Lyou Rebecca R. Goett Daniel W. Markwalter Diane L. Gorgas |
author_sort | Lauren T. Southerland |
collection | DOAJ |
description | Background: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents developed by a collaborative working group of seven national EM organizations. External experts in geriatric EM also developed competency recommendations for EM residency education in geriatrics, but these are not being taught in many residency programs. Our objective was to evaluate how the geriatric EM competencies integrate/overlap with the EM Model and KSAs to help residency programs include them in their educational curricula. Methods: Trained emergency physicians independently mapped the geriatric resident competencies onto the 2019 EM Model items and the 2021 KSAs using Excel spreadsheets. Discrepancies were resolved by an independent reviewer with experience with the EM Model development and resident education, and the final mapping was reviewed by all team members. Results: The EM Model included 77% (20/26) of the geriatric competencies. The KSAs included most of the geriatric competencies (81%, 21/26). All but one of the geriatric competencies mapped onto either the EM Model or the KSAs. Within the KSAs, most of the geriatric competencies mapped onto necessary level skills (ranked B, C, D, or E) with only five (8%) also mapping onto advanced skills (ranked A). Conclusion: All but one of the geriatric EM competencies mapped to the current EM Model and KSAs. The geriatric competencies correspond to knowledge at all levels of training within the KSAs, from beginner to expert in EM. Educators in EM can use this mapping to integrate the geriatric competencies within their curriculums. |
first_indexed | 2024-03-08T14:29:22Z |
format | Article |
id | doaj.art-bb3b4cf146824700888359cf0d942382 |
institution | Directory Open Access Journal |
issn | 1936-900X 1936-9018 |
language | English |
last_indexed | 2024-03-08T14:29:22Z |
publishDate | 2023-12-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Western Journal of Emergency Medicine |
spelling | doaj.art-bb3b4cf146824700888359cf0d9423822024-01-12T15:41:08ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182023-12-01251516010.5811/westjem.6084260842Integration of Geriatric Education Within the American Board of Emergency Medicine ModelLauren T. Southerland0Lauren R. Willoughby1Jason Lyou2Rebecca R. Goett3Daniel W. Markwalter4Diane L. Gorgas5The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioRutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New JerseyUniversity of North Carolina School of Medicine, Department of Emergency Medicine, Chapel Hill, North CarolinaThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioBackground: Emergency medicine (EM) resident training is guided by the American Board of Emergency Medicine Model of the Clinical Practice of Emergency Medicine (EM Model) and the EM Milestones as developed based on the knowledge, skills, and abilities (KSA) list. These are consensus documents developed by a collaborative working group of seven national EM organizations. External experts in geriatric EM also developed competency recommendations for EM residency education in geriatrics, but these are not being taught in many residency programs. Our objective was to evaluate how the geriatric EM competencies integrate/overlap with the EM Model and KSAs to help residency programs include them in their educational curricula. Methods: Trained emergency physicians independently mapped the geriatric resident competencies onto the 2019 EM Model items and the 2021 KSAs using Excel spreadsheets. Discrepancies were resolved by an independent reviewer with experience with the EM Model development and resident education, and the final mapping was reviewed by all team members. Results: The EM Model included 77% (20/26) of the geriatric competencies. The KSAs included most of the geriatric competencies (81%, 21/26). All but one of the geriatric competencies mapped onto either the EM Model or the KSAs. Within the KSAs, most of the geriatric competencies mapped onto necessary level skills (ranked B, C, D, or E) with only five (8%) also mapping onto advanced skills (ranked A). Conclusion: All but one of the geriatric EM competencies mapped to the current EM Model and KSAs. The geriatric competencies correspond to knowledge at all levels of training within the KSAs, from beginner to expert in EM. Educators in EM can use this mapping to integrate the geriatric competencies within their curriculums.https://escholarship.org/uc/item/1q13n83m |
spellingShingle | Lauren T. Southerland Lauren R. Willoughby Jason Lyou Rebecca R. Goett Daniel W. Markwalter Diane L. Gorgas Integration of Geriatric Education Within the American Board of Emergency Medicine Model Western Journal of Emergency Medicine |
title | Integration of Geriatric Education Within the American Board of Emergency Medicine Model |
title_full | Integration of Geriatric Education Within the American Board of Emergency Medicine Model |
title_fullStr | Integration of Geriatric Education Within the American Board of Emergency Medicine Model |
title_full_unstemmed | Integration of Geriatric Education Within the American Board of Emergency Medicine Model |
title_short | Integration of Geriatric Education Within the American Board of Emergency Medicine Model |
title_sort | integration of geriatric education within the american board of emergency medicine model |
url | https://escholarship.org/uc/item/1q13n83m |
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